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| February 2008 |
From the Editor |
Surprisingly nonbenign imaging
Nephrogenic systemic fibrosis is making us revise
our view that “MRI with contrast” is a benign test.
B.F. MANDELL |
| Commentary |
Infective endocarditis prophylaxis
before dental procedures:
New guidelines spark controversy
Many fewer people will need to receive antibiotics,
according to new guidelines released by the American
Heart Association.
A. KIM AND T. KEYS |
| Review |
Nephrogenic systemic fibrosis
and its association with gadolinium
exposure during MRI
This debilitating disorder can lead to serious complications
and death. In patients with renal dysfunction, we should
use gadolinium-based imaging studies with caution.
N. ISSA, E.D. POGGIO, R.A. FATICA, R. PATEL,
P.M. RUGGIERI, AND R.J. HEYKA
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| Editorial |
Gadolinium and nephrogenic systemic fibrosis:
The evidence of things not seen
Much has been learned, but “nephrogenic”
is misleading: this fibrosing disorder is not caused
by the kidneys.
J. KAY
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| 1-Minute Consult |
Should all patients with
chronic kidney disease take a statin?
Some patients should take a statin, particularly those
not yet on dialysis who have low-density lipoprotein
cholesterol levels higher than 100 mg/dL. However,
relatively few studies have addressed this question.
D. RIFKIN AND M. SARNAK |
| Review |
Screen for portopulmonary hypertension,
especially in liver transplant candidates
Portopulmonary hypertension should be looked
for in patients with liver disease, especially if liver
ransplantation is being considered, as it may make
transplantation riskier to perform.
K.L. SWANSON AND M.J. KROWKA |
| Review |
Red eye for the internist:
When to treat, when to refer
We review the conditions that can cause this ocular sign—
the ones that internists can comfortably manage, and the
ones that are best managed by an eye specialist.
A. GALOR AND B.H. JENG
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| Cardiovascular Board Review |
A young man with acute weakness
of his right arm
A previously healthy, relatively young man has had a stroke.
What is the cause and what should be done?
M.A. KAMINSKI, C.D. TAN, AND A.T. ASKARI
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| Review |
Preventing and managing diabetic
complications in elderly patients
Elderly patients with diabetes are prone to a number
of complications, some of which take precedence over,
hinder, or preclude the intensive glucose control
recommended for younger diabetic patients.
T. HORNICK AND D.C. ARON
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S aureus and MRSA:
The new adventures
of a legendary pathogen
Preventing first bleeding
from esophageal varices
Dipstick hematuria:
What to do before you refer
Sodium phosphate
bowel preps:
What are the caveats?
Gliptins: What can
we expect from these
new diabetes drugs?
Physical examination
is still valuable in assessing
pleural effusions
Choosing the right imaging
test for a painful knee
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